NPI | 1992050041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: UT 9685201-1205) |
Additional Taxonomies | 208800000X Urology (Licence: OH 35.124046) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2022-07-27 |